FTM Surgery

Board Certified Plastic Surgeon - Matthew G. Stanwix, MD FACS

FTM Top Surgery Expert

Although an exciting time, gender confirming surgery time can be intimidating emotionally and physically. Transgender FTM surgery seems daunting at first with the web research, pictures, and experiences that you may encounter on the internet. Board Certified Plastic Surgeon, Dr. Matthew G. Stanwix of Stanwix Plastic Surgery, has the experience and dedication to help you through the gender reassignment process. His gentle natural and caring personality will put you at ease in your journey and has already put many smiles on those in the FTM community.

Dr. Matthew Stanwix performs the most advanced top surgery and gender affirming procedures, and trained in Plastic and Cosmetic Surgery at The Johns Hopkins Hospital for Plastic Surgery. Not only was he at the top of his fellowship class, but he spent substantial time ten years ago at their various surgery centers learning how to perform top surgery. There, he learned the intricacies of advanced and minimally invasive transgender F to M surgery from some of the best. However, he has perfected his technique, adjusted it, and added V Shape liposuction to deliver outstanding results. He is excited to share his expertise and skill set to the FTM community in Virginia (Richmond VA, Charlottesville VA, Williamsburg VA, Norfolk VA, Virginia Beach VA) as well as out of state travelers from Maryland, West Virginia, Tennessee, North Carolina, and across the US and even international. As his reviews and reputation show, Dr. Stanwix is dedicated to providing you a wonderful surgical experience and the meticulous outcome you deserve.

FTM Procedures

Top Surgery

Keyhole

Periareolar with Areolar reduction

Double Incision with nipple graft

All Top Surgery includes VASER liposuction chest wall to define muscle (Pecs, lats, serratus) and deliver the masculine “V” shape

Facial Fat grafting (jawline, chin, temples, etc)

Tummy Tucks

Masculinizing "V" VASER Liposuction & Fat Grafting

Enhance Pecs, Arms (bIceps, Triceps), Legs/Calves with natural fat

Top Surgery

Dr. Matthew G. Stanwix of Stanwix Plastic Surgery performs three major forms of FTM top surgery with individualized variations. Dealing with the excess skin is key to a successful surgery and an outcome that you deserve. That is why Dr. Stanwix will perform minimally invasive techniques or hide your scar in natural lines or creases in all his FTM surgeries.

1. "Keyhole" FTM Top Surgery: During this surgery, Plastic Surgeon Dr. Matthew G. Stanwix of Richmond VA, removes the breast tissue through a small incision around part of the areola. By doing so, the entire surgery is hidden within a scar concealed in the areola. Most of the time, the areola naturally reduces to fit the contour of your new chest. Also, Dr. Stanwix will perform some liposuction around the edges to fully contour the area into a smooth transition. After the healing process, there is virtually no scar because the incision is so well hidden!

Before After Keyhole

Keyhole (Patient of Dr. Stanwix)

2. "Peri" or "Periareolar" FTM Top Surgery: This type of top surgery is very similar to the keyhole approach. Dr. Stanwix hides the incision around the whole areola, making it a minimal scarring type of surgery. Futrhermore, the "peri" also reduces the areola size at the same time and can remove some limited skin for those that are not a kehole candidate. Liposuction around the pec muscle and chest willd efine your muscles and deliver a natural result that fits the rest of your body.

3. . "Double Incision" FTM Top Surgery: For those with more excess skin, the skin will need to be taken at the time of surgery, thus requiring an incision to remove it. Dr. Stanwix hides this incision along the edge of the pec to "mimic" the natural pectoralis muscle border. During the surgery, the nipple will need to be taken off and then grafted on as a skin graft with a smaller size to match the new contour of the chest. Liposuction is an important aspect of this surgery to transition the side of the chest into the new contour on the front. Dr. Stanwix can individulaize this surgery to your needs. Mabe you want round areolas, smaller areolas, maybe you want a more built pec look, or compeltely flar Over a few months the sensation and color of the nipple will come back, the will scars fade, and the swelling will dissipates making your results priceless. Importantly, VASER Liposuction is performed to define the V shape of the masculine chest and finalize the exceptional result.

(notice great symmetry and non-connecting scars-Patient of Dr. Stanwix).

Postoperative DI Top Surgery at 2 years with V Shape Liposuction

(notice great symmetry and non-connecting scars-Patient of Dr. Stanwix).

Care around surgery

Dr. Stanwix meets with all his FTM patients in at least two consultations to go over the surgical details and the postoperative care. Here, Dr. Stanwix will let you know which medicines not to take before surgery (such as ibuprofen, aspirin, etc) and what to expect from surgery. After surgery care is important. Dr. Stanwix will place you in a compression vest and likely a surgical drain. He uses skin glue and advanced techniques such that you can shower the next day, and your drains only stay a handful of days. Depending on which type of FTM surgery you had, he will have you back into most activities within 2 weeks or so.

If you are interested in learning more about surgery with FTM expert Dr. Matthew G. Stanwix, then contact Dr. Stanwix for an appointment today. For our out of town guests, we have many accommodations to make your stay and surgical experience as pleasant as possible. Dr. Stanwix is looking forward to meeting you.